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Form 43
AFFIDAVIT OF EXECUTION
Place of Execution:
Date of Execution:
1. That I was personally present and saw the attached instrument duly executed by the party specified and that I am the
subscribing witness;
2. That the person who executed the instrument is known to me or the person’s identity has been proved to my satisfaction;
3. That the instrument was executed at the place and on the date specified above;
4. That at the time of execution of the instrument I was of the full age of sixteen years; and
5. That the person who executed the instrument is, in my belief, of the age of majority.
SWORN TO at place , )
on date , )
before me: )
)
)
)
)
)
) Subscribing Witness
Commissioner of Oaths, )
etc. )
2000-37
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